Boniface Respicious, Museru Lawrence, Kiloloma Othman, Munthali Victoria
Muhimbili Orthopaedic Institute (MOI), Dar es Salaam, Tanzania; Injury Control Centre Tanzania (ICCT); Muhimbili University of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
Injury Control Centre Tanzania (ICCT); University of Dar es Salaam, School of Health Sciences, Dar es Salaam, Tanzania.
Pan Afr Med J. 2016 Feb 19;23:46. doi: 10.11604/pamj.2016.23.46.7487. eCollection 2016.
Injuries represent a significant cause of morbidity and mortality worldwide and road traffic crashes accounts for a significant proportion of these injuries. Tanzania is among the countries with high rates of road traffic crashes. The aim of this study was to determine the pattern, associated factors and management of road traffic injury patients in Tanzania.
A cross-sectional study of patients involved in motor traffic crashes and attended in six public hospitals of Tanzania mainland between April 2014 and September 2014.
A total of 4675 road traffic injury patients were seen in studied hospitals, 76.6% were males. Majority (70.2%) were between 18 - 45 years age group. Motorcycles were the leading cause of road traffic crashes (53.4%), and drivers (38.3%) accounted for majority of victims. Fractures accounted for 34.1%, and injuries were severe in 2.2% as determined by the Kampala trauma score II (KTS II). Majorities 57.4% were admitted and 2.2% died at the casualty. Factors associated with mortality were; using police vehicles to hospital (P = 0.000), receiving medical attention within 2 to 10 hours after injury (P = 0.000), 18 - 45 years age group (P = 0.019), not using helmet (P = 0.007), severe injuries (P = 0.000) and sustaining multiple injury (P = 0.000).
Road traffic Injuries in Tanzania are an important public health problem, predominantly in adult males, mostly due to motorcycle crashes. It is therefore important to reinforce preventive measures and pre-hospital emergency service is urgently needed.
伤害是全球发病和死亡的一个重要原因，道路交通事故在这些伤害中占很大比例。坦桑尼亚是道路交通事故发生率较高的国家之一。本研究的目的是确定坦桑尼亚道路交通事故受伤患者的模式、相关因素及管理情况。
对2014年4月至2014年9月期间在坦桑尼亚大陆六家公立医院就诊的机动车交通事故患者进行横断面研究。
在所研究的医院共诊治了4675例道路交通事故受伤患者，其中76.6%为男性。大多数（70.2%）患者年龄在18至45岁之间。摩托车是道路交通事故的主要原因（53.4%），司机（38.3%）是主要受害者群体。骨折占34.1%，根据坎帕拉创伤评分II（KTS II）确定，2.2%的患者伤势严重。大多数（57.4%）患者住院，2.2%的患者在急诊室死亡。与死亡率相关的因素有：乘坐警车前往医院（P = 0.000）、受伤后2至10小时内接受医疗救治（P = 0.000）、18至45岁年龄组（P = 0.019）、未佩戴头盔（P = 0.007）、重伤（P = 0.000）和多处受伤（P = 0.000）。
坦桑尼亚的道路交通事故伤害是一个重要的公共卫生问题，主要发生在成年男性中，主要原因是摩托车事故。因此，加强预防措施很重要，并且迫切需要院前急救服务。
